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General NPI Number Information
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NPI Number | 1568518405
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Entity Type | Individual
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Provider Name | WENDY WAHLQUIST LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 71 DUTILH RD
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City | CRANBERRY TOWNSHIP
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State | PA
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Zip | 16066
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Country | US
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Telephone | 412-368-2072
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Fax |
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Provider Business Mailing Address
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Address Line | 71 DUTILH ROAD
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City | CRANBERRY TOWNSHIP
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State | PA
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Zip | 16066
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Country | US
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Telephone | 412-368-2072
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LCM 165
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 717001183
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1231
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MF0000826
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License Number State | PA
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